Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Lee Everett Edstrom, MD

Individual provider Plastic Surgery Physician · NPI 1669566303

Dr. Lee Everett Edstrom, MD is a Plastic Surgery Physician in Providence, Rhode Island. Practices as a sole proprietor. Licensed in Rhode Island.

Licensed in
RI
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2 Dudley Ste 460
Providence, RI 02905
Phone: (401) 331-2303
Fax: (401) 331-4430
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Plastic Surgery Physician (primary) Taxonomy 208200000X · Licence 5949 (RI)

Record details

NPI number1669566303
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedOctober 3, 2006
Last updated in NPPESMarch 7, 2023
Mailing address2 Dudley, Suite 460, Providence, RI 02905

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